Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,731.30 / $1,765.24 / $1,799.19	Facility		$1,731.30	$1,765.24	$1,799.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,637.97 / $1,799.19 / $2,849.44	Professional		$1,637.97	$1,799.19	$2,849.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,845.02 / $2,077.56 / $2,308.40	Professional		$1,845.02	$2,077.56	$2,308.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,876.84 / $3,876.84 / $3,876.84	Facility		$3,876.84	$3,876.84	$3,876.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,326.75 / $2,326.75 / $2,326.75	Facility		$2,326.75	$2,326.75	$2,326.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.53 / $1,698.53 / $2,326.75	Professional		$1,698.53	$1,698.53	$2,326.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,478.63 / $17,957.82 / $17,957.82	Facility		$6,478.63	$17,957.82	$17,957.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,415.13 / $19,415.13 / $28,229.40	Professional		$19,415.13	$19,415.13	$28,229.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,109.53 / $2,682.38 / $3,876.84	Facility		$1,109.53	$2,682.38	$3,876.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,109.53 / $3,566.69 / $3,876.84	Professional		$1,109.53	$3,566.69	$3,876.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,489.10 / $1,489.10 / $1,489.10	Professional		$1,489.10	$1,489.10	$1,489.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,109.53 / $2,590.40 / $3,876.84	Facility		$1,109.53	$2,590.40	$3,876.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,698.53 / $1,698.53 / $2,480.44	Professional		$1,698.53	$1,698.53	$2,480.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,432.22 / $2,044.34 / $2,465.63	Professional		$1,432.22	$2,044.34	$2,465.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,048.37 / $2,063.89 / $3,876.84	Professional		$2,048.37	$2,063.89	$3,876.84